| NPI | 1346941176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: LA 1245) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: LA 1245) |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2023-03-17 |